NPI 1003902446

Jill Virginia Ash, PA

Practitioner Physician Assistant Fort Walton Beach, FL

Practice location

Address: 339 Racetrack Rd Suite 2, Fort Walton Beach, FL 32547
Phone: (850) 863-7900
Fax: (850) 864-3094
Mailing address: PO Box 1568, Lynn Haven, FL 32444-1568

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9101487 (FL)

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Registry record

NPI: 1003902446
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.